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The Relation between Frequency of E-Cigarette Use and Frequency and Intensity of Cigarette Smoking among South Korean Adolescents

Author

Listed:
  • Jung Ah Lee

    (Department of Family Medicine, ASAN Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea)

  • Sungkyu Lee

    (National Evidence-Based Healthcare Collaborating Agency, Seoul 100705, Korea)

  • Hong-Jun Cho

    (Department of Family Medicine, ASAN Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea)

Abstract

Introduction: The prevalence of adolescent electronic cigarette (e-cigarette) use has increased in most countries. This study aims to determine the relation between the frequency of e-cigarette use and the frequency and intensity of cigarette smoking. Additionally, the study evaluates the association between the reasons for e-cigarette use and the frequency of its use. Materials and Methods: Using the 2015 Korean Youth Risk Behavior Web-Based Survey, we included 6655 adolescents with an experience of e-cigarette use who were middle and high school students aged 13–18 years. We compared smoking experience, the frequency and intensity of cigarette smoking, and the relation between the reasons for e-cigarette uses and the frequency of e-cigarette use. Results: The prevalence of e-cigarette ever and current (past 30 days) users were 10.1% and 3.9%, respectively. Of the ever users, approximately 60% used e-cigarettes not within 1 month. On the other hand, 8.1% used e-cigarettes daily. The frequent and intensive cigarette smoking was associated with frequent e-cigarette uses. The percentage of frequent e-cigarette users (≥10 days/month) was 3.5% in adolescents who did not smoke within a month, but 28.7% among daily smokers. Additionally, it was 9.1% in smokers who smoked less than 1 cigarette/month, but 55.1% in smokers who smoked ≥20 cigarettes/day. The most common reason for e-cigarette use was curiosity (22.9%), followed by the belief that they are less harmful than conventional cigarettes (18.9%), the desire to quit smoking (13.1%), and the capacity for indoor use (10.7%). Curiosity was the most common reason among less frequent e-cigarette users; however, the desire to quit smoking and the capacity for indoor use were the most common reasons among more frequent users. Conclusions: Results showed a positive relation between frequency or intensity of conventional cigarette smoking and the frequency of e-cigarette use among Korean adolescents, and frequency of e-cigarette use differed according to the reason for the use of e-cigarettes.

Suggested Citation

  • Jung Ah Lee & Sungkyu Lee & Hong-Jun Cho, 2017. "The Relation between Frequency of E-Cigarette Use and Frequency and Intensity of Cigarette Smoking among South Korean Adolescents," IJERPH, MDPI, vol. 14(3), pages 1-9, March.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:3:p:305-:d:93060
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    References listed on IDEAS

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    1. Jessica K. Pepper & Kurt M. Ribisl & Sherry L. Emery & Noel T. Brewer, 2014. "Reasons for Starting and Stopping Electronic Cigarette Use," IJERPH, MDPI, vol. 11(10), pages 1-17, October.
    2. Jung Ah Lee & Sun Hee Kim & Hong-Jun Cho, 2016. "Electronic cigarette use among Korean adults," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 151-157, March.
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    Cited by:

    1. Kim A. G. J. Romijnders & Liesbeth Van Osch & Hein De Vries & Reinskje Talhout, 2018. "Perceptions and Reasons Regarding E-Cigarette Use among Users and Non-Users: A Narrative Literature Review," IJERPH, MDPI, vol. 15(6), pages 1-19, June.
    2. Youn Huh & Hong-Jun Cho, 2021. "Associations between the Type of Tobacco Products and Suicidal Behaviors: A Nationwide Population-Based Study among Korean Adolescents," IJERPH, MDPI, vol. 18(2), pages 1-10, January.
    3. Ilona Wężyk-Caba & Małgorzata Znyk & Radosław Zajdel & Łukasz Balwicki & Anna Tyrańska-Fobke & Grzegorz Juszczyk & Karolina Zajdel & Beata Świątkowska & Dorota Kaleta, 2022. "Determinants of E-Cigarette and Cigarette Use among Youth and Young Adults in Poland—PolNicoYouth Study," IJERPH, MDPI, vol. 19(18), pages 1-12, September.

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